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Jayne Koskinas Ted Giovanis
Foundation for Health and Policy

PO Box 130
Highland, Maryland 20777

Media contact: 202.548.0133

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Theodore Giovanis, FHFMA, MBA
Carol Lombardo, MBA, R.D.
Charlotte Kohler, CPA, MBA, LPN


Theodore Giovanis, FHFMA, MBA, is the President and founder of the Jayne Koskinas Ted Giovanis Foundation for Health and Policy and provides overall direction for the Foundation’s activities. Mr. Giovanis’ work experiences include work in government relations, health policy development, and management of health care organizations covering nearly four decades. He has been involved in the development of many Medicare regulatory and legislative policy changes such as the creation of the Medicare Geographic Classification Review Board and Section 508 Reclassifications. Mr. Giovanis was also solely responsible for the identification and prosecution of the rural floor budget neutrality issue which resulted in a multibillion-dollar settlement for hospitals nationally. Contact Mr. Giovanis.

J. Graham Atkinson, D.Phil., is the Foundation's executive vice president for research and policy. Dr. Atkinson holds a Doctorate degree from Oxford University. His other experiences include being one of the original developers of the Maryland case mix reimbursement system, serving as an expert in various court cases, and is widely recognized for his health policy expertise. Dr. Atkinson has been involved in the design and development of various RUGs based nursing facility payment systems; DRG, APC, and APG outpatient payment systems; and the Medicare payment system for ambulance services. He has also been extensively involved in the development of state rate systems. In addition, he has performed several projects dealing with various Attorney Generals in litigations involving the use of mathematical analyses. 
Contact Dr. Atkinson.

Rodney Spangler, CPA, participates in many of the Foundation’s research projects. In addition to his work for the Foundation, Mr. Spangler has previously been involved in reviews of hospital wage data and the development of Medicaid days for purposes of Medicare payment adjustments. His experience areas include Medicare and Medicaid reimbursement issues and the analysis and review of data supporting policy changes. Mr. Spangler’s prior experiences also include work with a regulatory body which governed and set the rates for hospitals. His work has included the development of the adjustments in hospital payment systems including the adjustments for labor costs and the underpinning data. As such, he has overseen the collection and review of hospital reported data including wage and salary data, hospital statistics, and case mix data. 
Contact Mr. Spangler.

Kristina Giovanis, BSIE, participates in many of the Foundation’s research projects. Her prior experiences include work as the project manager on various projects including the rural floor budget neutrality appeal. Ms. Giovanis is very adept at throughput analyses, which she is able to apply to health care, and this fosters the most efficient processes in her work with appeal filings and other aspects of hospital payments and operations. She possesses an industrial engineering background, extensive analytic skills, ability to oversee project development, and has completed an array of projects regarding diverse subject matters. 
Contact Ms. Giovanis.